Individual
AMANDA HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
600 NW 10TH AVE, PORTLAND, OR 97209-3202
(503) 227-4835
Mailing address
17391 SW JAY ST APT 307, BEAVERTON, OR 97003-7641
(858) 382-4988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015536
OR
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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